A prospective, randomised, single-blinded, controlled trial comparing two topical anaesthetic modalities for the application of a tenaculum to the cervix

J Obstet Gynaecol. 2005 Nov;25(8):781-5. doi: 10.1080/01443610500328173.


The aim of this study was to compare the efficacy of equivalent doses of lignocaine spray vs lignocaine jelly in reducing pain during the application of a tenaculum to the cervix. A total of 58 women undergoing hysterosalpingography were prospectively randomised to receive either two doses of 10% lignocaine spray or 1 ml of 2% lignocaine jelly (both doses equivalent to 20 mg of lignocaine base) topically onto the cervix before tenaculum attachment. There was no difference in pain scores (measured by visual analogue scale and 4-point verbal descriptor scale) between lignocaine spray and lignocaine jelly during the attachment of the tenaculum to the cervix. In conclusion, there was no difference in pain during tenaculum attachment to the cervix following topical application of equivalent doses of either lignocaine jelly or spray.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Intravaginal
  • Adult
  • Anesthetics, Local / administration & dosage*
  • Cervix Uteri*
  • Female
  • Humans
  • Hysterosalpingography / adverse effects*
  • Hysterosalpingography / instrumentation*
  • Lidocaine / administration & dosage*
  • Pain / etiology
  • Pain / prevention & control*
  • Prospective Studies
  • Single-Blind Method
  • Surgical Instruments / adverse effects
  • Vaginal Creams, Foams, and Jellies


  • Anesthetics, Local
  • Vaginal Creams, Foams, and Jellies
  • Lidocaine